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Hum Vaccin Immunother . Enhanced passive safety surveillance of standard-dose and high-dose influenza vaccines in Finland and Germany 2023-24 seaso

tetano

Editor, Senior Moderator
Hum Vaccin Immunother


. 2025 Dec;21(1):2475616.
doi: 10.1080/21645515.2025.2475616. Epub 2025 Mar 18. Enhanced passive safety surveillance of standard-dose and high-dose influenza vaccines in Finland and Germany 2023-24 season

Marina Amaral de Avila Machado[SUP] 1 [/SUP], Sophie Gallo[SUP] 2 [/SUP], Alexander Goldstein[SUP] 3 [/SUP], Parth Vachhani[SUP] 4 [/SUP], Reddappa Maniganahally Byrareddy[SUP] 4 [/SUP], Anu Kantele[SUP] 5 [/SUP], Hanna Välimaa[SUP] 5 [/SUP], Jörg Schelling[SUP] 6 [/SUP]



Affiliations
Abstract

Enhanced Passive Safety Surveillance was used to detect safety signals before the peak period of immunization with quadrivalent inactivated influenza vaccines (IIV4) in Finland (standard dose [SD]) and Germany (high dose [HD]) in the 2023-24 season. The primary objective was to evaluate adverse drug reactions (ADRs) occurring ≤7 days following IIV4 vaccination. Enrolled participants were vaccinated in routine clinical care settings and encouraged to report ADRs. Exposure data and ADR reports were collected in a near real-time manner using an electronic system. Vaccinee reporting rate (RR) with 95% confidence interval (CI) was calculated as the number of vaccinees reporting ≥ 1 ADR divided by total number of vaccinees. In Finland for SD-IIV4, among 1,003 vaccinees aged ≥ 6 months, 81 reported a total of 192 suspected ADRs occurring ≤ 7 days following vaccination (vaccinee RR 8.08%; 95% CI 6.46, 9.94). In Germany for HD-IIV4, among 1,075 vaccinees aged ≥ 60 years, 15 reported 46 ADRs that occurred in ≤ 7 days of vaccination (vaccinee RR 1.40%; 95% CI 0.78, 2.29). No safety signal was detected during this surveillance. The 2023-24 season surveillance did not suggest any clinically significant changes in safety profile compared with previously reported safety data for SD-IIV4 and HD-IIV4.

Keywords: Efluelda; Vaxigrip Tetra; adverse drug reactions; enhanced safety surveillance; influenza vaccine; quadrivalent split-virion inactivated influenza vaccine.

 
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